Organization Active NPI

Sanctuary: a Healing Place

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
National Provider Identifier
1295038875
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0912755 Issued in AZ
Legal business name
SANCTUARY: A HEALING PLACE
Practice address
9915 E Bell Rd
Suite 120
Scottsdale, AZ 85260-2395
Phone
(480) 306-5771
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David J. Jecmen, PH.D.
Title
Psychologist/Owner
Phone
(480) 306-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0912755 AZ Primary

Addresses

Primary practice location

9915 E Bell Rd
Suite 120
Scottsdale, AZ 85260-2395

Mailing address

62 W Gneiss TRL
Flagstaff, AZ 86005-8378
Phone (480) 306-5771

National Provider Directory

National Provider Directory

Locations

9915 E Bell Rd
Ste 120
Scottsdale, AZ 85260
Phone (480) 274-7940

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1295038875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W GNEISS TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860058378",
            "telephone_number": "480-306-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 E BELL RD",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602395",
            "telephone_number": "480-306-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY: A HEALING PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "JECMEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "480-306-5771",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "0912755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.